Physical Medicine & Rehabilitation

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Plantar Fasciitis

Which one of the following statements about plantar fasciitis is false?

  • It affects about 6% of runners and active individuals.
  • The Windlass test is more sensitive when executed in a weight bearing position.
  • A plantar fascia thickness of 4 mm or more seen on ultrasonography supports the diagnosis.
  • A regular walking program is not recommended for rehabilitation.
Volume 41.3 - Question 24

Achilles Tendon Injury

Which one of the following statements about Achilles tendon injury is false?

  • Immobilization in a cast for 4 weeks in plantar flexion is appropriate if an acute rupture is diagnosed within 72 hours.
  • The rerupture rate is less than 5% with surgical repair.
  • Tendinopathy progresses to rupture in about 10% of cases.
  • Thompson test is helpful for diagnosis.
Volume 41.3 - Question 23

Treatment of Vertebral Compression Fractures

Which one of the following statements about the treatment of vertebral compression fractures is false?

  • Initial therapy for pain includes nonsteroidal anti-inflammatory drugs and acetaminophen.
  • Bisphosphonates are recommended to improve pain.
  • Bracing beyond 8 weeks is recommended.
  • Physical activity initiated within 2 weeks of fracture may contribute to greater vertebral collapse.
Volume 41.3 - Question 17

Virtual Yoga for Chronic Low Back Pain

Virtual yoga classes may be an effective treatment option for chronic low back pain.

  • True
  • False
Volume 40.6 - Question 16

Carpal Tunnel Syndrome Management

Which one of the following statements about the management of carpal tunnel syndrome is false?

  • Up to one-half of patients with nonsevere symptoms spontaneously improve within 2 years.
  • Splints should be worn for at least 1 to 2 months.
  • Short courses of prednisone (i.e., less than 2 weeks) are more effective than local corticosteroid injections.
  • Yoga can improve pain and grip strength compared with wrist splinting.
Volume 40.2 - Question 12

Postural Insoles in Stroke

In stroke patients, postural insoles improve static balance, gait symmetry, and spatiotemporal gait parameters compared with physical therapy alone.

  • True
  • False
Volume 40.1 - Question 30

Plantar Fasciitis

Treatment of plantar fasciitis with botulinum toxin A therapy leads to clinically significant improvement in pain at 12 months.

  • True
  • False
Volume 37.6 - Question 30

Aquatic Exercise and Chronic Low Back Pain

Therapeutic aquatic exercise in the management of adults with chronic low back pain is more effective than passive physical therapy modalities (transcutaneous electrical nerve stimulation and infrared ray thermal therapy).

  • True
  • False
Volume 37.6 - Question 21

Chest Wall Pain

CC, a 45-year-old female, has an office visit today because she has been experiencing bilateral parasternal chest wall pain for the past week. Deep breaths, coughing, and stretching exacerbate her chest wall pain. The upper second through fifth costochondral and costosternal junctions are the areas where she experiences most of her pain. She was seen a few days ago in the emergency department and she was told that she had a chest wall condition.
Volume 37.2 - Question 32

Degenerative Meniscal Tears

Over a period of five years, for self-reported knee function, exercise-based physical therapy is non-inferior to arthroscopic partial meniscectomy for degenerative meniscal tears.

  • True
  • False
Volume 38.2 - Question 17

Virtual Pulmonary Rehab

For patients with COPD, virtual pulmonary rehabilitation compared to in-person pulmonary rehabilitation results in each one of the following except:

  • Similar improvement in 6 minute walking distance.
  • Similar reduction in symptoms of breathlessness.
  • Similar improvement in quality of life score.
  • Reduced program completion.
Volume 37.5 - Question 19

Dyspnea in Long Covid  

In patients with COVID-19 who received mechanical ventilation and who have persistent dyspnea, dyspnea scores improve more with exercise training rehabilitation therapy than with standard physiotherapy. 

  • True
  • False
Volume 39.1 - Question 26

Platelet-Rich Plasma Injections

For which musculoskeletal condition is platelet rich plasma injection not recommended?

  • Conservative management of knee osteoarthritis.
  • Conservative management of lateral epicondylitis.
  • Expedited return to sport in patellar tendinopathy.
  • Conservative management of Achilles tendinopathy.
Volume 39.2 - Question 24

Outcomes After Critical Illness

Which one of the following statements about outcomes after critical illness is false?

  • ICU-acquired weakness includes polyneuropathy.
  • Rotator cuff injuries can occur from a prolonged prone position.
  • 1-year cognitive outcomes among ICU survivors are similar in severity to mild traumatic brain injury.
  • Prolonged grief occurs in more than 50% of relatives of patients who die in the ICU.
Volume 38.6 - Question 22

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